Deric Minwoo Park, MD
Deric Minwoo Park, MD is a Neurology in Chicago, Illinois. Graduated from Loma Linda University School of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Illinois, New Jersey, Pennsylvania and Virginia.
- Years since qualifying
- 30
- Trained at
- Loma Linda University School of Medicine
- Licensed in
- IL, NJ, PA, VA
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5841 S Maryland Ave # MC2030Chicago, IL 60637-1443
Phone: (773) 702-1061
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084D0003X · Licence 25MA11934400 (NJ) |
|---|---|
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | Taxonomy 2084D0003X · Licence MD431575 (PA) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 0101247111 (VA) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 036147170 (IL) |
Record details
| NPI number | 1730391509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | September 17, 2024 |
| Certification date | September 17, 2024 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Also practises | HEMATOLOGY/ONCOLOGY |
| Medical school | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |